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KMID : 1234520070020020197
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Korean Journal of Urogenital Tract Infection Inflammation
2007 Volume.2 No. 2 p.197 ~ p.202
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The Value of Transrectal Ultrasonography Guided Needle Aspiration in Prostate Abscess
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Shin Dae-Eun
LIm Dong-Hoon
Moon Hyung-Yoon
Roh Joon
Kim Chul-Sung
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Abstract
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Purpose: To evaluate the feasibility and effectiveness of transrectal ultrasonogram guided needle aspiration and drainage of prostatic abscess.
Material and Methods: From January, 2005 to June, 2007, six patients who were diagnosed as prostate abscess and treated in Chosun University Hospital were examined. Assessment parameters included associated disease, symptoms, analysis of midstream urine, blood, and aspirated abscess for leukocyte and common pathogen, digital rectal examination, transrectal sonography, and abdomen-pelvic CT. Managment of prostatic abscess included broad-spectrum antibiotics with or without transrectal ultrasonogram guided needle aspiration. During the follow up, transrectal ultrasound examination and abdomen-pelvic CT, urine analysis and urine culture were performed on an outpatient basis.
Result: For all patients, antibiotic therapy and suprapubic cystostomy were performed. Of six patients, four patients received transrectal ultrasonogram guided needle aspiration additionally. One patient was treated by transrectal ultrasonogram guided needle aspiration after the initial treatment of transurethral incision of the prostate was failed. All patients were treated effectively without complications.
Conclusion: It is suggested that transrectal ultrasonogram guided needle aspiration is relatively safe and has high success rates regardless of the size, number, and location of abscess.
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KEYWORD
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Prostate, Abscess, Transrectal, Ultrasound, Drainage
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